Developing Leaders in Schools: Unique Servant Leadership ...
Servant-Leaders in the medical world
-
Upload
trompenaars-hampden-turner -
Category
Documents
-
view
1.254 -
download
0
description
Transcript of Servant-Leaders in the medical world
WORKSHOP IVWORKSHOP IV
SERVANT-LEADERSHIP IN THE
MEDICAL WORLDMirna Sivro – Msc. in Business Administration (HRM)Nelleke ten Hove – Masterstudent Business Administration (HRM) (Almost Msc ☺)
RESEARCH FOCUS
� VUmc introduced Servant-Leadership since 2000
� Effects were never measured
� In 2009 dr. Inge Nuijten and dr. Dirk van Dierendonck
introduced their multidimensional measure for Servant-
Leadership
� VUmc was interested in the effects of Servant-Leadership
within their organization
RESEARCH DILEMMA
� Literature ‘gap’: “Servant-Leadership is a leadership style
that can bring back the trust, and among other things,
increase follower well-being and performance” (Nuijten,
2009:9)2009:9)
� To what extent does Servant-Leadership influence
organizational and individual performance of the Vumc?
(hard and soft performance indicators)
� Determination of potential “strategy gap”
RESEARCH QUESTIONS
� Mirna:What is the role of Servant-Leadership in creating and sustaining a High Performance Organization? (hard measure of performance)
� Nelleke:� Nelleke:To what extent can a ‘strategy gap’ be identified between how on the one hand, management and, on the other hand, managements’ subordinates experience VUmc’s Servant-Leadership strategy, and is Servant-Leadership related to subordinates’ levels of organizational citizenship behaviour (ocb) via trust? (soft measure of performance)
RESEARCH CONCEPTS I
Servant-Leadership (SL):
“A leadership style that is primarily focused on the growth and well-being of individuals. Furthermore, a Servant-Leader has moral character, the wisdom to foresee what is and well-being of individuals. Furthermore, a Servant-Leader has moral character, the wisdom to foresee what is needed, the ability to meet the needs of people, and the courage to act on that” (Nuijten, 2009: 8)
RESEARCH CONCEPTS I
Servant-Leader characteristics (Nuijten, 2009):
Serving: Leading:1. Humility 1. Empowerment2. Standing Back 2. Accountability2. Standing Back 2. Accountability3. Forgiveness 3. Stewardship4. Authenticity 4. Courage
RESEARCH CONCEPTS II
High Performance Organization (HPO) (hard measure):
“An organization that achieves financial and non-financial results
that are better than those of its peer group over a period of that are better than those of its peer group over a period of
time of at least five to ten years” (De Waal, 2008: 2)
RESEARCH CONCEPTS II
High Performance Organization Factors:
1. High Management Quality
2. High Workforce Quality
3. Long-Term OrientationLong-Term Orientation
4. Openness & Action Orientation
5. Continuous Improvement &
Renewal
Note: these 5 factors contain 35 elements
RESEARCH CONCEPTS III
Organizational Citizenship Behaviour (OCB) (soft measure):
“Such gestures as constructive statements about the department, expression of personal interest in the work of others, suggestions for improvement, training new people (…), care for suggestions for improvement, training new people (…), care for organizational property, and punctuality and attendence well beyond standard or enforceable levels” (De Gilder et al., 2008)
Behaviours that go beyond the “call of duty”
RESEARCH CONCEPTS IV
Trust in Leader:
The level of confidence that a subordinate has in the leaders’
competence and his or her willingness to act in a fair ethical competence and his or her willingness to act in a fair ethical
and predictable manner (Nyhan & Marlowe, 1997)
RESEARCH CONCEPTS V
Strategy Gap:
“The gulf between strategies conceived by top management and “The gulf between strategies conceived by top management and
awareness at lower levels” (Floyd & Wooldridge, 1992)
RESEARCH DESIGN
+
Figure 1: Integrated Research Design
SAMPLE COMPOSITION
• 570 respondents contacted by letter
• 100 departments in which 1 manager and 5 of its subordinates
were represented
89 usable respondents for the analysis• 89 usable respondents for the analysis
• Responsrate of 15.6 %
• Representative? – vraag Thijs
HPO RESULTS VUMC
5
6
7
8
9
10
HPO results VUmc compared to the sector and Top 3
Cure and Care Sector
0
1
2
3
4
Management Quality Openness and Action
Orientation
Long Term
Commitment
Continuous
Improvement and
Renewal
High Workforce
Quality
Cure and Care Sector
VUmc Score
Top 3 NL
Figure 2: HPO score Vumc compared to the sector and Top 3 performers
RESULTS I:
SERVANT-LEADERSHIP
AND HPO• Using the existing SL and HPO literature a theoretical
comparison was made between the factors and elements of
these concepts
• In order to determine the (possible) influence of
SL factors and elements on the HPO factors and
elements a correlation analysis was done.
• Correlation Analysis per function level
RESULTS I:
CORRELATIONS HPO AND SL:
Nursing and Other non leading personnel →
Formal Leader (Administrative Manager)
MQ SL-EMP SL-ACC SL-STEW SL-COUR SL-HUM SL-STBA SL-FOR SL-AUTH
Management Quality 1
Sig. (2-tailed)
,000** ,000** ,000** ,000** ,005** ,004**
N 80 42
Openness and Action Orientation
,000** ,003** ,000** ,017* ,000** ,010**
Long Term Commitment
,001** ,010** ,000** ,002** ,003**
Contineous Improvement
,007** ,001** ,000** ,026* ,005**
Workforce Quality
,000** , ,000** ,000** ,000** ,013*
* Correlation is significant at the 0.05 level (2-tailed)
** Correlation is significant at the 0.01 level (2-tailed)
RESULTS I:
CORRELATIONS HPO AND SL:
Nursing and Other non leading personnel →
Informal/Direct Leader (e.g. Medical specialist)
MQ
SL-
EMP
SL-
ACC
SL-
STEW
SL-
COUR
SL-
HUM SL-STBA SL-FOR SL-AUTH
Management Quality 1
Sig. (2-tailed) ,036*
N 80 42
Openness and Action
Orientation
,014*
Long Term Commitment
,008** ,043*
Contineous Improvement
Workforce Quality
,029*
* Correlation is significant at the 0.05 level (2-tailed)
** Correlation is significant at the 0.01 level (2-tailed)
RESULTS I:
CORRELATIONS HPO AND SL:
Leading personnel → Informal/Direct Leader
MQ SL-EMP SL-ACC SL-STEW SL-COUR SL-HUM SL-STBA SL-FOR SL-AUTH
Management Quality 1
Sig. (2-tailed)
,000** ,000** ,000** ,009** ,034*
N 80 26
Openness and Action Orientation
,000** ,014* ,000** ,000** ,002** ,009** ,027*
Long Term Commitment Long Term Commitment
,000** ,002** ,000** ,034* ,030*
Contineous Improvement
,009** ,004** ,018* ,014* ,003**
Workforce Quality
,000** ,002** ,001**
* Correlation is significant at the 0.05 level (2-tailed)
** Correlation is significant at the 0.01 level (2-tailed)
RESULTS II:
SL, TRUST AND OCB
Figure 3: Mediation SL, Trust and OCB
RESULTS III:
SL DIMENSIONS
AND OCB
Figure 4: SL dimensions in relation to OCB
RESULTS IV:
STRATEGY GAP
� Significant difference between Managers (formal leaders) and Subordinates (medical specialists and nurses)
� Significant difference between Nurses and Medical Specialists
(informal leaders)
� Non-significant difference between Managers
(formal) and Medical Specialists
(informal managers) Managers(informal managers)
� Strategy Gap as indicator for areas
to improve with respect to Servant-Leadership
� Are nurses “ready” for Servant-Leadership?
Managers
Medical
Specialists
Nurses
CONCLUSIONS I
• Correlation results show that although there are many positive
correlations between SL and HPO, there are also many
differences between organizational levels and their function
groups within the VUmc. This means that SL does not have thegroups within the VUmc. This means that SL does not have the
same infleunce on the HPO scores within the whole organization.
Specific servant-leader behaviours are positively associated with trust in
leader and ocb.
� Servant-leaders Forgiveness - Trust in Leader
� Servant-leaders Empowerment & Accountability – OCB
Servant-Leadership positively influences subordinates levels ocb, via trust in
CONCLUSIONS II
Servant-Leadership positively influences subordinates levels ocb, via trust in
leader.
Inconsistencies exist between how servant-leadership is experienced on
different organizational levels within the VUmc. However, the size of the gap is smaller than expected, it functions as an indicator for areas to improve with respect to servant-leadership.
CONCLUSIONS III
improve with respect to servant-leadership.
IMPLICATIONS VUMC� Bottom-up Approach
� Representatives for employees
throughout organizational levels
Efforts to incorporate
Nurses
Efforts to incorporate
servant-leadership in the “heart
and mind” of every single VUmc employee.
MedicalSpecialists
Managers
DISCUSSION POINTS• Could it be that servant-leadership is only successfull in a
specific (serving) organizational context?
• Or is there a need for servant-leadership in commercial
organizational contexts and settings (retail, banking
sector)? sector)?
• Are all 21th century employees ready for servant-
leadership?
THANK YOU FOR YOUR
ATTENTION
Are there any questions?